If your baby seems to want solids, or you’re hoping solid food will calm fussiness, you might be eager to get started. Before you do, take a look at what the research says about when to start your baby on solids, including baby food.

What Doctors Say

Introducing solid food before your baby reaches four months of age raises the risk of increased weight gain and obesity, both in infancy and later in early childhood.  A study published in Pediatrics (the journal of The American Academy of Pediatrics) in 2011 specifically investigated the relationship between the timing of introducing solids and the subsequent risk of childhood obesity. The researchers looked at how the introduction of solids might affect the rate of obesity in preschool-aged children. The study’s findings indicated that among the infants who were never breastfed (or who stopped breastfeeding before four months old), introducing solids before the age of four months was associated with a six-fold increase in the odds of obesity at age three. In the past, experts had argued that formula-fed infants experience “rapid early growth” (formula-fed infants tended to gain weight more quickly at the beginning than breastfed babies did). However, the 2011 study found that rapid early growth did not explain the increased risk of obesity in preschool-age children.

Starting Solids for Breastfed Babies 

Interestingly, the 2011 study also found that for babies who were breastfed, the timing of introducing solid foods was not associated with increased obesity risk. It seems the rates of obesity in breastfed babies were quite similar, but does that mean that parents who breastfeed should feel confident that they can start solids as soon as they want? Not exactly. Keep in mind that this study considered only one health risk: obesity. While there was no substantial connection between the timing of introducing solids to breastfed infants and their risk of preschool obesity, the study still urged parents to stick with the AAP’s suggested timing for starting solids—about six months of age.

When to Start Solids

Ultimately, your baby’s age and a conversation with your pediatrician should be what determines when you introduce solid foods into your little one’s diet. You might notice signs that your baby is ready for solid foods, such as strong head and neck control and the ability to sit up independently. However, these indicators do not replace a discussion with your baby’s doctor.  Once you decide to start your baby on solids, it’s common to have lots of questions, such as whether to start with baby cereal, which foods to introduce (and when), and whether they should introduce juice too. Ask your pediatrician any questions you have about your baby’s nutrition and diet.